1. IN THE NEXT FEW SLIDES YOU WILL SEE THE MIRACLE OF SURGICAL OFF-LOADING.

2. AND THOUSANDS OF DOLLARS IN MEDICAL EXPENSE.

3. When this next patient first came to our clinic, he had suffered from these foot ulcers for 5 long years.

4. HE HAD BEEN TO MANY DOCTORS AND WOUND CARE CENTERS. HE HAD SPENT OVER $300,000 TRYING TO HEAL THESE WOUNDS.

13. They are usually easily treated with a small surgery to get the pressure off the toe.

14. THIS PATIENT HAD SEEN THREE DOCTORS AND WAS LOSING HOPE. HE WAS REFERRED BY A FRIEND WHO HAD A SIMILAR PROBLEM.

15. HE WENT ON TO HEAL AND RETURNED TO NORMAL SHOES IN ABOUT 3 WEEKS AFTER THE SURGERY

17. In just two weeks this patients ulcer was healed and he returned to normal shoes after treating the wound for a year with conventional methods. Surgery can heal these ulcers very quickly and significantly lower the risk of future ulcers and amputations.

20. Most recently this patient had been to the University of Texas Limb Salvage and Wound Care Center, with no improvement in the wound. Most recently this patient had been to the University of Texas Limb Salvage and Wound Care Center, with no improvement in the wound.

23. DIABETIC FOOT ULCERS ARE NOT SOLELY PROBLEM WTH THE SKIN. THE ULCER IS CAUSED BY UNEVEN PRESSURE AND FORCE ON THE FOOT!!!!

24. THE MOST LOGICAL WAY TO HEAL FOOT ULCERS IS NOT TO JUST TREAT THE SKIN…. BUT TO TREAT THE CAUSE!!!!

25. WITH A SOUND UNDERSTADING OF WHY ULCERS OCCUR AND CAREFUL SURGICAL PLANNING, SURGERY CAN OFFER HOPE TO MANY PATIENTS WHO HAVE LONG-STANDING FOOT WOUNDS.

26. DR. SILVESTER HAS HELPED MANY PATIENTS FINALLY HEAL WOUNDS THAT HAVE BEEN PRESENT FOR YEARS DESPITE EXTENSIVE WOUND CARE.

27. WE WOULD LOVE TO TALK TO YOU AND SEE IF WE CAN HELP.